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Based on public Medicaid payment data.

Jessica Wallace Mirrielees

Medicaid Provider in Hanahan, SC

Type

Individual Provider

Address

996 Tanner Ford Blvd

Hanahan, SC 294104780

Phone

8432128810

NPI

1255666863

Procedures

3

Total Claims

20.8K

Patients Served

19.2K

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Dental Cleaning & Exam $32.74 16,441 16,441
Dental Filling $92.04 3,838 2,545
Tooth Extraction $87.12 560 205

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